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Surgical Innovations

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Microvascular Surgery

Microvascular surgery is performed on very small blood vessels, typically 3 to 5 millimeters in diameter, using an operating microscope, specialized surgical instruments, and tiny needles with ultrafine sutures.

Microvascular surgery is used to reattach severed fingers, hands, arms, and another amputated parts to the body. This is done by reconnecting the small blood vessels, thus restoring circulation before the injured tissue begins to die. Microvascular is also used in reconstructive surgery.

The transplanted healthy tissue from a distant site is called a "free flap". This healthy tissue is moved to the site of the wound where blood circulation is restored.

Free flap surgery is complex and technically challenging. It is ideally performed at centers of excellence such as UCSF, where the procedures are done in high volume and success, measured by patency rates, are very high.

Free flap procedures performed at UCSF include:

Breast Reconstruction

Superior and inferior gluteal flap

TFL flap

Ruben's flap

Gracilis flap

Trunk

Abdomen and chest, typically large wounds caused by radiation therapy and cancer surgery

Head and Neck Reconstruction

Jaw or jawbone (mandible)

Esophagus

Scalp

Cranial base

Legs (Lower Extremities)

Traumatic wounds

Post-cancer surgery

Salvage of amputation stumps

Bony reconstruction

Non-healing lower extremity ulcers secondary to diabetes

Arterial or venous insufficiency

Facial Re-Animation Surgery

Restoration of facial expression following nerve injury or cancer surgery

Breast Care Reconstructive Surgery

Parking

Parking at Mount Zion

Public parking is available in two parking garages near our Mount Zion campus.
One is a UCSF garage at 2420 Sutter St. and the other is a public garage at
1635 Divisadero St. Entrances to both garages are on Sutter Street, between
Divisadero and Broderick streets.

The 2420 Sutter St. garage is open 6 a.m. to 10 p.m., Monday to Friday, and
closed on weekends and UCSF holidays. The rate is $6 an hour with a $30 daily
maximum ($12 daily maximum for patients with a valid disabled placard). If you
have a valid disabled placard, you may have the parking fee reduced to $6 by
obtaining a parking voucher from your clinic or the lobby information desk at
1600 Divisadero Street. Present the voucher, your disabled parking
placard and your garage receipt to the cashier.

For more information about parking in the 2420 Sutter St. garage, call (415)
514-8935.

The public parking lot at 1635 Divisadero St. garage is open from 5:30 a.m. to
9 p.m., Monday to Friday, and closed on weekends and major holidays. The rate
is $2 each 20 minutes with a $28 daily maximum. UCSF parking vouchers are not
valid at the 1635 Divisadero St. garage.

For more information about the public parking lot in the 1635 Divisadero
St. garage, call
(415) 441-5408 or visit www.1635divisaderogarage.com.